Reconstruction of   Defects after Excision of  Basal Cell Carcinoma of the Head and Neck

Dr Hemant Lekawale

Volume : VI, Issue : VIII, August - 2016

Reconstruction of Defects after Excision of Basal Cell Carcinoma of the Head and Neck

Dr Hemant Lekawale

Abstract :

Background: Basal cell carcinoma (BCC) is the most common non–melanoma skin cancer with a potential of local recurrence. Methods: In our study we analysed 23 patients with biopsy proven BCC of face, scalp and neck over a period of 24 months. Results: The age of the patients ranged from 41 years to 70 years with a mean age of 59.39 years and the male: female ratio was 7:16. The average tumour size was 2.56cm x 1.84cm .The most common location of the tumour was at the nose 07(30.4%) and cheek 07(30.4%) followed by eye 02 (8.69%), lip 02(8.69%) and ear 02(8.69%). Other sites were chin 01(4.34%), forehead 01(4.34%) and scalp 01(4.34%). The clinical variants of BCC were as follows, nodular 15(65.21%); superficial 03(13.04%); cystic 02(8.69%); pigmented 02(8.69%) and morpheaform 01(4.34%). Out of 23 patients , paramedian forehead flap reconstruction was done in 07 (30.4%) patients; V–Y advancement flap in 05(21.7%) patients; primary closure in 04(17.39%) patients; transposition flap in 03(13.04%) patients; rotation flap in 03(13..04%) patients and split skin graft in 01(4.34%) patient. The mean follow up period was 9.21 months. Seven patients were lost to follow up and from the remaining 16 patients, none of them developed recurrence. Conclusion: Three dimensional monobloc excision of basal cell carcinoma reduces the recurrence rate. The reconstruction options of these defects depend on the location, size and shape of defects.